Active NPI
Brian Donnan Baxter, M.D.
- Emergency Medicine Physician
- Clearwater, FL
National Provider Identifier
1649210204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2000-01560
- Practice address
- 5380 Tech Data Dr # 101
Clearwater, FL 33760 - Phone
- (469) 401-2386
- NPI assigned
- Jun 8, 2006
- Last updated
- May 1, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2000-01560 | NC | Primary |
Addresses
Primary practice location
5380 Tech Data Dr # 101
Clearwater, FL 33760
Mailing address
5380 Tech Data Dr # 101
Clearwater, FL 33760-3122
Other practice location 1
4800 S Croatan Hwy
Nags Head, NC 27959-9704
Phone (252) 449-4500
Other practice location 2
4800 S Croatan Hwy
Nags Head, NC 27959-9704
Phone (252) 449-4500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00243064 | Other | NC | MEDICARE RAILROAD |
| 130X3 | Other | NC | BLUE CROSS |
| 89130X3 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000-01560 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurology Medicine Services of FL, LLC | Past | Accepting new patients | |
| In Hospitalists, LLC | Past | Accepting new patients | |
| Intensivist Medicine Services of FL, LLC | Past | Accepting new patients | |
| Emergency Medicine Services of TX, PLLC | Emergency Medicine | Past | Accepting new patients |
| Hospital Medicine Services of Colorado, LLC | Past | Accepting new patients | |
| Emergency Medicine Services of NH, LLC | Emergency Medicine | Past | Accepting new patients |
| Trauma Medicine Services of VA, LLC | Past | Accepting new patients | |
| Hospital Medicine Services of NH, LLC | Past | Accepting new patients | |
| Anchorage Pulmonary Services LLC | Past | Accepting new patients |
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556668800000",
"number": "1649210204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5380 TECH DATA DR # 101",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337603122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5380 TECH DATA DR # 101",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "33760",
"telephone_number": "469-401-2386"
}
],
"practiceLocations": [
{
"address_1": "4800 S Croatan Hwy",
"address_purpose": "LOCATION",
"city": "Nags Head",
"state": "NC",
"postal_code": "279599704",
"country_code": "US",
"telephone_number": "252-449-4500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4800 S Croatan Hwy",
"address_purpose": "LOCATION",
"city": "Nags Head",
"state": "NC",
"postal_code": "279599704",
"country_code": "US",
"telephone_number": "252-449-4500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAXTER",
"first_name": "BRIAN",
"middle_name": "DONNAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2019-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "2000-01560",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00243064",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "130X3",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89130X3",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.